RAINSVILLE PEDIATRIC DENTAL VILLAGE (NPI# 1871976399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871976399 |
| Entity Type | Organization |
| Organization Name | RAINSVILLE PEDIATRIC DENTAL VILLAGE |
| Practice Address |
371 Mccurdy Ave S Rainsville AL 35986-5215 |
| Practice Telephone | 2566383000 |
| Practice Fax Number | 2566383099 |
| Mailing Telephone | 2566383000 |
| Mailing Fax Number | 2566383099 |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |
| Authorized Official Name | DR. TARA L MONCUS (DENTSIT/OWNER) |
| Authorized Official Telephone | 2566383000 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
6198 | AL | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5126 | AL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 1003811241 | 05 |
| Street Address |
371 MCCURDY AVE S |
| City | RAINSVILLE |
| State | AL |
| Zip Code | 35986-5215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003811241 | Tara Lambert Moncus | Dentist | 371 Mccurdy Ave S, Rainsville, AL 35986-5215 | 2005-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073150306 | Dekalb Urgent Care and Wellness Clinic, LLC | Family Medicine | 157 Marshall Road, Rainsville, AL 35986 | 2019-12-05 |
| 1487160768 | Vision Plus Eyecare Dekalb LLC | Optometrist | 94 Church Avenue N, Rainsville, AL 35986 | 2017-12-21 |
| 1164602504 | Rainsville Eye Clinic | Eyewear Supplier (Equipment, not the service) | 463 Main St W., Rainsville, AL 35986 | 2007-11-13 |
| 1467632976 | Matthew Henry Habel | Optometrist | 94 Church Street North, Rainsville, AL 35986 | 2007-11-13 |
| 1174717268 | Martin L. Habel, O.d. | Optometrist | 94 Church Ave. Nw, Rainsville, AL 35986 | 2007-08-31 |
| 1972793727 | Christopher Brian Millican | Pharmacist | 1040 Kirk Road, Rainsville, AL 35986 | 2007-07-27 |
| 1386709632 | Terrell Chiropractic, LLC | Chiropractor | 65 Mccurdy Ave South, Rainsville, AL 35986 | 2006-12-27 |
| 1760557227 | Independent Health Services | Pharmacy | 504 Mccurdy Ave Sw, Ste 100, Rainsville, AL 35986 | 2006-11-21 |
| 1447337225 | Robert Bynum Terrell | Chiropractor | 65 Mccurdy Avenue South, Rainsville, AL 35986 | 2006-11-01 |
| 1669571048 | Rainsville Drugs, Inc | Pharmacy | 503 Main Street West, Rainsville, AL 35986 | 2006-09-21 |
| Find all providers in zip 35986 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003811241 | Tara Lambert Moncus | Dentist | 371 Mccurdy Ave S, Rainsville, AL 35986-5215 | 2005-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801423280 | Otm Pediatric Dentistry, LLC | Dentist | 521 Highway 31 S Ste 125, Vestavia Hills, AL 35216-1877 | 2020-03-25 |
| 1629602529 | Summit Smiles Pediatric Dentistry, LLC | Dentist | 3106 James Madison Dr E, Mobile, AL 36693-4060 | 2020-02-28 |
| 1316453210 | Liberty Park Children's Dentistry | Dentist | 1950 Stonegate Dr Ste 100, Vestavia Hls, AL 35242-2525 | 2017-12-14 |
| 1578091815 | Bush Pediatric Dentistry | Dentist | 4740 Woodmere Blvd, Montgomery, AL 36106-3065 | 2017-05-31 |
| 1225415771 | Oxford Pediatric Dental Associates LLC | Dentist | 1409 Hamric Dr E, Oxford, AL 36203-1933 | 2015-05-05 |
| 1013304310 | Sarrell Regional Dental Center for Public Health, Inc. | Dentist | 805 N Mckenzie St, Suite C, Foley, AL 36535-3544 | 2015-04-24 |
| 1962813188 | Shelby Pediatric Dentistry, PC | Dentist | 2490 Pelham Parkway, Pelham, AL 35124 | 2014-05-09 |
| 1447681861 | Mobile Pediatric Dentistry | Dentist | 1105 Hillcrest Rd Ste B, Mobile, AL 36695-3921 | 2013-12-11 |
| 1659635712 | Natasha Varma | Dentist | 9807 Mcsara Ct, Spanish Fort, AL 36527-5461 | 2012-07-03 |
| 1407133978 | Sarrell Regional Dental Center for Public Health Inc. | Dentist | 1572 Mill Sq, Alexander City, AL 35010-3367 | 2011-11-10 |
| Find all providers with the same taxonomy | ||||
| City | RAINSVILLE |
| Zip Code | 35986 |
Please comment or provide details below to improve the information on RAINSVILLE PEDIATRIC DENTAL VILLAGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.